A lateral window sinus lift procedure was performed on a 55 years old female patient who lost the posterior teeth over upper left area a long time ago. Two Nobel Biocare Replace Select implants were placed at the same time of the sinus lift procedure. Patient reported that there was minimum discomfort through out the entire procedure. 8 months recall X-Rays show completely bone/ implant integration with solid ridge expansion. The case was then restored by the referring dentist with great patient satisfaction.